0
December 13, 1924, Vol 83, No. 24 >
ARTICLE | December 13, 1924

THE EARLY DIAGNOSIS OF TRUE HERNIA OF THE DIAPHRAGM

DONALD P. ABBOTT, M.D.
JAMA. 1924;83(24):1898-1899. doi:10.1001/jama.1924.02660240012003.
Text Size: A A A
Published online
Article

ABSTRACT

True hernias of the diaphragm are those which have a sac of peritoneum, or pleura or both. The nontraumatic type occur through preformed openings or at their margins. Their occurrence is probably dependent on an acute or chronic increased intra-abdominal pressure. The preformed openings are as follows:

  1. The esophageal foramen.

  2. The foramen of Morgagni, at the junction of the sternum and the seventh costal cartilage on either side.

  3. The foramen of Bochdolek, posteriorly between the lumbar and costal division of the diaphragm.

  4. The point of entrance for the sympathetic nerve, between the external and median crura.

Hernias through, or at the side of, the esophageal opening are much the most common. In no case has a hernia passed through the orifices of the aorta or vena cava. In most cases, the hernia enters the left pleural cavity. Often it is found in the posterior mediastinum, especially in early hernia, but

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Letters

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems